ISSN 1303-6637 | e-ISSN 1308-531X
TURKISH JOURNAL OF FAMILY PRACTICE - Türk Aile Hek Derg: 25 (2)
Volume: 25  Issue: 2 - 2021
1. Cover

Page I

2. Advisory Board

Pages II - III

3. Contents

Page VI

4. Instructions for Authors

Pages VII - VIII

5. Editorial

Page IX

REVIEW ARTICLE
6. Post Traumatic Stress Disorder in the COVID-19 Pandemic: A Family Medicine Approach
Hüseyin Serinçay, Gökçe Mat, Ersin Ülger, Alis Özçakır, Züleyha Alper, Yeşim Uncu
doi: 10.5222/tahd.2021.58066  Pages 37 - 46
Studies show that more than two-thirds of the general population may experience trauma at least once in their lifetime.[1] Post-Traumatic Stress Disorder (PTSD) is the most common psychopathological consequence of exposure to traumatic events.[2] Without a vaccine or effective medical treatments, an unrecognized epidemic of infection such as COVID-19 can be defined as a traumatic experience in terms of acute and chronic effects at the individual and community level. This pandemic has once again demonstrated the central role of family medicine in the health system. On one hand, family physicians taking an active role in informing the society, triage of patients and referral to hospitals, when necessary, prevents excessive burden on hospitals and the health system and consuming resources, on the other hand, they play an important role in creating the most needed sense of trust in the crisis. This article summarizes the information about trauma, PTSD, PTSD in COVID-19 pandemic and PTSD approach in Family Medicine.

ORIGINAL RESEARCH
7. The Relationship of Vitamin D Status with Body Mass Index Among Obese Patients Registered to the Obesity Center
Mahcube Çubukçu, Eda Türe, Bahadır Yazıcıoğlu, Erdinç Yavuz
doi: 10.5222/tahd.2021.42714  Pages 47 - 52
Objective: In our study, we aimed to determine vitamin D levels among obese patients registered to Obesity Center and to investigate its relationship with body mass index (BMI).
Methods: The study was conducted in the Obesity Center of Health Sciences University Samsun Training and Research Hospital. Records of 102 patients with BMI> 30 kg/m², 18 years of age and over, admitted to the obesity center between 01.12.2018 and 01.12.2019 were retrospectively analyzed. Serum 25-OH D level<20 ng/ml was accepted as severe insufficiency, 20-30 ng/ml insufficiency, >30 ng/ml proficiency. Mann-Whitney U, Pearson chi-squared and Spearman tests were used in the evaluation of the data. The data were evaluated by the SPSS 22.00 program. p<0.05 was considered significant.
Results: A total of 102 patients participated. The mean age was 48.82±12.09 years. 62.75% of them were female. 24.51% of participants were class 1 obese, 32.35% of participants were class 2 obese, 43.14% of participants were class 3 obese. The prevalance of severe vitamin D insufficiency was 45.10% and insufficiency in 38.24% of the patients. The mean vitamin D levels of the patients registered to the Obesity Center was 13.26±7.74 ng/ml. The mean BMI was 35.26±4.28 kg/m². Serum 25-(OH)D levels were inversely related to BMI. There was a significant relationship between age and BMI (p=0.036).
Conclusion: Vitamin D insufficiency is highly prevalent in obese patients registered to Obesity Center. Serum 25-(OH)D levels were inversely associated with BMI. Obese patients should be evaluated and followed for vitamin D insufficiency.

8. Examining the Knowledge, Attitudes and Behaviors of Adults about Colorectal Cancer Risk Factors and Early Diagnosis Methods
Esra Sancaktar, Özge Tuncer
doi: 10.5222/tahd.2021.63825  Pages 53 - 58
INTRODUCTION: In this study, ıt was aimed to determine the level of awareness by evaluating the knowledge, attitudes and behaviors of people about the risk factors, symptoms and early diagnosis methods of colorectal cancer.
METHODS: The study was conducted with a face-to-face interview with 300 patients who met the inclusion criteria of the study, who applied to the Family Medicine Clinic of İzmir Bozyaka Education and Research Hospital at the University of Health Sciences, between January 2019 and February 2019. Data obtained statistically were analyzed using SPSS (Statistical Package for Social Sciences) program.
RESULTS: The mean age of the participants was 51,8±8,66 years and the age ranged was between 40 to 70 years. 68.3% (205) of the participants were female. When the educational status of the patients is examined, the highest rate is composed of primary school graduates with 33% (99), followed by university graduates with 28.7% (86). 66.3% (124) of those who have heard about colorectal cancer screening test reported that they heard it from health care workers, 25.7%(48) from their relatives and friends. 62.3% (187) of the participants heard about colorectal cancer screening tests. While 96.7% (290) of the participants believed that those tests were necessary, 85% (255) of the participants thought that the aim of the colorectal cancer screening test was to catch the disease at an early stage. Only 29% (87) of the participants were informed by the doctor about colorectal cancer screening tests. Only 25% (75) of the participants knew names of colorectal cancer screening tests correctly. 39.7% (60) of the participants over the age of 50 had a CRC screening test. While the participants considered changes in the habit of defecation as the most frequent sign of CRC, the most known risk factor was the family history of CRC.
DISCUSSION AND CONCLUSION: In our study ıt was determined that individuals had a lock of knowledge about CRC and the rate of screening test recommended for those over the age of 50 was low. For this reason, Family Physicians, who are great importance in terms of ptotective medicine should inform and guide their patients more about the screening test.

9. Evalution of Family Physician’s Awareness of Vertigo: A Cross-sectional Study
İrfan Kara, Muhammed Gazi Yıldız, Raziye Şule Gümüştakım, Adem Doğaner, Saime Sağıroğlu, Nagihan Bilal, İsrafil Orhan
doi: 10.5222/tahd.2021.35744  Pages 59 - 65
Objective: This study aims to determine the family physician’s level of awareness on vertigo. The approaches of family medical practitioners and ENT physicians on vertigo-diziness was determined, as well as the knowledge on most common vertigo-causing diseases and the diagnostic and therapeutic approaches of these diseases were contrasted.
Methods: 352 physicians including 160 ENT physicians and 192 family physicians were included in the survey study. This study was conducted in the form of an online survey using “google forms” open web page. The questionnaire study was completed by specialist physicians, lecturers and actively working medical residents with more than 1 year of professional experience. Participants were asked to fill in a 34-item questionnaire involving sociodermographic information, the definition of vertigo, the commonest vertigo-causing diseases, the treatment of these diseases and their willingness for educationon vertigo.
Results: Concerning the questionnaire item “what is the first disease that comes to mind when vertigo is mentioned?”, 95% of ENT physicians responded benign paroxysmal positional vertigo (BPPV) and 3% of them mentioned Meniere’s disease as their answer while 53% of the family physicians answered BPPV and 35% of them chose Meniere’s disease. 31% of ENT physicians and 63% of family physicians stated that they usually order blood tests to the patients presenting with vertigo complaint. The reply to the question “what is the basic treatment of BPPV” was repositioning maneuvers in 96% of ENT physicians and 71% of family physicians. The rate of performing repositioning maneuvers on patients with BPPV is 97% in ENT physicians and 29% in family medical doctors.
Conclusions: The most crucial conclusion of this study is that family physicians participating in the questionnaire need more education about the distinction between vertigo and dizziness and some fundamental points about peripheral vertigo-causing diseases. At this point, we think that organizing courses on vertigo for family physicians will be beneficial in this regard.

CASE REPORT
10. Cow's Milk and Egg Allergy Presented With Chronic Diarrhea, Case Report
Sadiye Şener Çalışkan, Nurten Karataş
doi: 10.5222/tahd.2021.47955  Pages 66 - 68
Persistent diarrhea in infancy, is one of the most common complaints form of food allergies. When the patient's histories are not detailed, they can be easily overlooked and they are tried to be controlled with general gastroenteritis treatments. In this case report, cow's milk and egg allergy was mentioned which is detected by the symptoms of persistant diarrhea, iron deficiency anemia and growth retardation. In this respect, we aimed to emphasize that primary care physicians should evaluate food allergy in the differential diagnosis when they encounter infants and children with persistent diarrhea and growth retardation.

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